Individual
DR. DAVID ROY PESSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 E STATE ST, MAB-GR01, GLOVERSVILLE, NY 12078-1203
(518) 775-4201
(518) 775-4225
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4201
(518) 775-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401186002
BSH NE NY
NY
05
—
00544243
—
NY
01
—
10027252
CDPHP
NY
01
—
990387
MVP HEALTHPLAN
NY
Enumeration date
07/24/2006
Last updated
01/22/2015
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